Choroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.

<h4>Purpose</h4>To investigate the differences in the choroidal biomarkers between two forms of flat irregular pigment epithelial detachment (FIPED): avascular (aFIPED) and vascularized (vFIPED) in eyes with chronic central serous chorioretinopathy (CSC).<h4>Materials and methods&l...

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Autores principales: Hooshang Faghihi, Alireza Mahmoudi, Elias Khalili Pour, Nazanin Ebrahimiadib, Kaveh Fadakar, Fariba Ghassemi, Ahmad Mirshahi, Alireza Khodabande, Hassan Khojasteh, Fatemeh Bazvand, Mohammadreza Mehrabi Bahar, Hamid Riazi-Esfahani
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:456c575d4afd4610b151ca9c1d5890462021-12-02T20:14:12ZChoroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.1932-620310.1371/journal.pone.0257763https://doaj.org/article/456c575d4afd4610b151ca9c1d5890462021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257763https://doaj.org/toc/1932-6203<h4>Purpose</h4>To investigate the differences in the choroidal biomarkers between two forms of flat irregular pigment epithelial detachment (FIPED): avascular (aFIPED) and vascularized (vFIPED) in eyes with chronic central serous chorioretinopathy (CSC).<h4>Materials and methods</h4>Enhanced depth imaging optical coherence tomography (EDI-OCT) was done in eyes with FIPED correlated to chronic CSC, fellow eyes, and also in healthy eyes from gender- and age-matched subjects. Eyes with FIPED were classified into two subgroups based on optical coherence tomography angiography (OCTA) findings: vFIPED and aFIPED. Different choroidal biomarkers such as subfoveal choroidal thickness (SFCT), total choroidal area (TCA), and choroidal vascular index (CVI) were compared between the groups.<h4>Results</h4>Forty-four eyes from 42 patients with chronic CSC and FIPED along with 40 eyes from 20 healthy subjects were included. OCTA identified vascularization in 14 eyes in the FIPED group (31.8%). Mean SFCT was higher in the FIPED group compared to two other groups (p = 0.005). In comparison to patients with aFIPED, patients with vFIPED had lower SFCT (p = 0.003) and higher CVI (p = 0.020) based on multivariate analysis.<h4>Conclusions</h4>It seems that measurement of CVI along with SFCT may help to differentiate aFIPED from vFIPED in patients with CSC. Further longitudinal studies would be required to confirm the clinical significance of these findings.Hooshang FaghihiAlireza MahmoudiElias Khalili PourNazanin EbrahimiadibKaveh FadakarFariba GhassemiAhmad MirshahiAlireza KhodabandeHassan KhojastehFatemeh BazvandMohammadreza Mehrabi BaharHamid Riazi-EsfahaniPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257763 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hooshang Faghihi
Alireza Mahmoudi
Elias Khalili Pour
Nazanin Ebrahimiadib
Kaveh Fadakar
Fariba Ghassemi
Ahmad Mirshahi
Alireza Khodabande
Hassan Khojasteh
Fatemeh Bazvand
Mohammadreza Mehrabi Bahar
Hamid Riazi-Esfahani
Choroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.
description <h4>Purpose</h4>To investigate the differences in the choroidal biomarkers between two forms of flat irregular pigment epithelial detachment (FIPED): avascular (aFIPED) and vascularized (vFIPED) in eyes with chronic central serous chorioretinopathy (CSC).<h4>Materials and methods</h4>Enhanced depth imaging optical coherence tomography (EDI-OCT) was done in eyes with FIPED correlated to chronic CSC, fellow eyes, and also in healthy eyes from gender- and age-matched subjects. Eyes with FIPED were classified into two subgroups based on optical coherence tomography angiography (OCTA) findings: vFIPED and aFIPED. Different choroidal biomarkers such as subfoveal choroidal thickness (SFCT), total choroidal area (TCA), and choroidal vascular index (CVI) were compared between the groups.<h4>Results</h4>Forty-four eyes from 42 patients with chronic CSC and FIPED along with 40 eyes from 20 healthy subjects were included. OCTA identified vascularization in 14 eyes in the FIPED group (31.8%). Mean SFCT was higher in the FIPED group compared to two other groups (p = 0.005). In comparison to patients with aFIPED, patients with vFIPED had lower SFCT (p = 0.003) and higher CVI (p = 0.020) based on multivariate analysis.<h4>Conclusions</h4>It seems that measurement of CVI along with SFCT may help to differentiate aFIPED from vFIPED in patients with CSC. Further longitudinal studies would be required to confirm the clinical significance of these findings.
format article
author Hooshang Faghihi
Alireza Mahmoudi
Elias Khalili Pour
Nazanin Ebrahimiadib
Kaveh Fadakar
Fariba Ghassemi
Ahmad Mirshahi
Alireza Khodabande
Hassan Khojasteh
Fatemeh Bazvand
Mohammadreza Mehrabi Bahar
Hamid Riazi-Esfahani
author_facet Hooshang Faghihi
Alireza Mahmoudi
Elias Khalili Pour
Nazanin Ebrahimiadib
Kaveh Fadakar
Fariba Ghassemi
Ahmad Mirshahi
Alireza Khodabande
Hassan Khojasteh
Fatemeh Bazvand
Mohammadreza Mehrabi Bahar
Hamid Riazi-Esfahani
author_sort Hooshang Faghihi
title Choroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.
title_short Choroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.
title_full Choroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.
title_fullStr Choroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.
title_full_unstemmed Choroidal features in flat irregular pigment epithelial detachment associated with Chronic central serous chorioretinopathy: Avascular versus vascularized.
title_sort choroidal features in flat irregular pigment epithelial detachment associated with chronic central serous chorioretinopathy: avascular versus vascularized.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/456c575d4afd4610b151ca9c1d589046
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